RIZKALLAH, MOUHAB
NPI: 1629095450
· SOMERVILLE, MA 02144
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 07/16/2006
$822K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,589 |
$822K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
1,999 |
1,888 |
$442K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
178 |
178 |
$211K |
| D7140 |
Extraction, erupted tooth or exposed root |
540 |
151 |
$53K |
| D7240 |
Removal of impacted tooth - completely bony |
144 |
43 |
$52K |
| D9941 |
|
279 |
278 |
$23K |
| D9243 |
|
230 |
59 |
$22K |
| D8680 |
|
206 |
185 |
$18K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$884.00 |